Public Health
BARIATRIC SURGERY
!
What new patients need to know about weight reduction surgery at the University of Virginia.
Presented by Anna D. Miller, R.N., B.S.N.
Normal anatomy of abdomen
!
Food normally goes from your stomach into the small intestine, then into the large intestine.
Laparoscopic surgery
!
!
!
Surgeons use air to inflate your belly so they can see the stomach and intestines. Special staplers make the connections internally. 98% of gastric bypass surgeries are performed with this technique.
Laparoscopic surgery
!
Multiple small incisions are made to place a telescope, and small instruments into your abdomen to perform the same operation that surgeons can do through a large incision.
Roux-en-Y Gastric Bypass
!
!
!
“Best” weight reduction surgery according to NIH. Surgeons create a pouch from the upper part of the stomach. It becomes a Reservoir for food.
Roux-en-Y Gastric Bypass
!
A special stapler is used to close off the top part of the stomach to create a pouch.
Roux-en-Y Gastric Bypass
!
The small intestine is connected to the pouch.
Roux-en-Y Gastric Bypass
!
!
Create the “Y” in Roux–en-Y Your surgeon connects the 2 parts of the intestine together.
RESTRICTION
! !
!
!
You will have a pouch instead of a stomach! It will be the size of an egg. It will hold about a ½ cup of food. The pouch restricts the amount of food you can eat.
ABSORPTION
!
In your present, pre-operative state there are many areas for nutrients to be absorbed.
MALABSORPTION
!
!
The Roux-en-Y Gastric Bypass produces a state of malabsorption. Your intestines will not be able to absorb as many vitamins and nutrients.
MALABSORPTION
!
!
!
!
You will need to get enough protein (50–60 gms per day) You will need to take Multivitamins for the rest of your life! This will start from DAY ONE! Get in the habit now.
Protein and Vitamin deficiencies
! !
!
If you
!
What new patients need to know about weight reduction surgery at the University of Virginia.
Presented by Anna D. Miller, R.N., B.S.N.
Normal anatomy of abdomen
!
Food normally goes from your stomach into the small intestine, then into the large intestine.
Laparoscopic surgery
!
!
!
Surgeons use air to inflate your belly so they can see the stomach and intestines. Special staplers make the connections internally. 98% of gastric bypass surgeries are performed with this technique.
Laparoscopic surgery
!
Multiple small incisions are made to place a telescope, and small instruments into your abdomen to perform the same operation that surgeons can do through a large incision.
Roux-en-Y Gastric Bypass
!
!
!
“Best” weight reduction surgery according to NIH. Surgeons create a pouch from the upper part of the stomach. It becomes a Reservoir for food.
Roux-en-Y Gastric Bypass
!
A special stapler is used to close off the top part of the stomach to create a pouch.
Roux-en-Y Gastric Bypass
!
The small intestine is connected to the pouch.
Roux-en-Y Gastric Bypass
!
!
Create the “Y” in Roux–en-Y Your surgeon connects the 2 parts of the intestine together.
RESTRICTION
! !
!
!
You will have a pouch instead of a stomach! It will be the size of an egg. It will hold about a ½ cup of food. The pouch restricts the amount of food you can eat.
ABSORPTION
!
In your present, pre-operative state there are many areas for nutrients to be absorbed.
MALABSORPTION
!
!
The Roux-en-Y Gastric Bypass produces a state of malabsorption. Your intestines will not be able to absorb as many vitamins and nutrients.
MALABSORPTION
!
!
!
!
You will need to get enough protein (50–60 gms per day) You will need to take Multivitamins for the rest of your life! This will start from DAY ONE! Get in the habit now.
Protein and Vitamin deficiencies
! !
!
If you